HomeMy WebLinkAboutBuilding Permit 00-0608
6~1
QATF RFr.FIV!;]2 CITY OF PRIOR LAKE
7. If;. 00 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. CJO - 0 (, OY'
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2SITEADDRESS364-5 /S'-I'tND I/It::.-W
1. DATE
/./8.00
ADDtJ. /ft-IW
BUILDINI INFORMATION
11. SIZE OF STRL ~TURE
(Height) 0N ith) (Depth)
2,vo
3. LEGAL DESCRIPTION
3
12. NO. OF STORI::5
LOT
BLOCK
'hEIN
1
? JJ.D
PID z.S-/Sq. 00::3-0
1St-.
4. OWNER (Name)
.Ma Y }""A) p
5. ARCHITECT (Name)
13. TYPE OF CON 3TRUCTIQN
ADDITION
,./ (Address) ...
I( tJ /)R~'r~1
r (Address)
4:!L7~ :1002}
(Tel. No.)
14. FLOOR AREA \PPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF (CCUPANTS OR SEATS
'S:6LF
OCCUPANTF
7. TYPE OF WORK Fireplace 0 Septic 0 Dec~ Re-roofing 0 Porch CJ
New Construction 0 Alterations 0 Addition 0 Finish Att{"O. Re-sieling 0 Finish Basement 0 16. PROJECT CC STNALUE
ChimneyCl Misc. K!6PL.1Jt!6MoN7 o6C!K- S'~ ~{ZC.s
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished information on this application which is to the best of rny knowledge true and correct. I also certify that I am the m ner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted )Ians. I am aware that the
building icial can revoke this perrl).!!!.9' just cause. urthermore, I hereby agree that the city official or a designee may enter upon the property to pert .rm needed inspections.
X Ie;,,' 7 - 1 k ' ()()
Signalu
SEATS
17. COMPLETIOI DATE
License No.
Do"
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
.,ok
Side
Side
MATERIAL FILEt WITH APPLICATION
SOIL TESTS 0 E ~ERGY DATA 0
USE OF BUILDING
,eGs n/e
OFF STREET PARKING PILING LOGS Cl P :RCOLA TION TESTS Cl
SPACES REO. PLANS & SPECS Cl S ;rs
SPACES ON PLAN SURVEY D C JPIES
PERMIT VALUATION ~i.foo o. (/() PLOT PLAN Cl
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV (jV
Occupancy Group A B E F HIM @S U
Division 1 2 <!:>
Permit Fee ..,..,.... ........ ................. ~
City:
Amount Brought Forward ..................
Park Support Fee .... .... ...................
SAC .........................................
Collective Street Fee .... ............. ......
Sewer Tap .......................... .........
Plan Check Fee ................. ............ $
State Surcharge ................. ............ $
Penally ....................................... $
?7.Z.S:
..,.c.. 7/
Z,8l>
Sewer & Water Permit ...................... <!;
Pressure Reducer ..........................
Meter Horn ...................................
Water Meter ......... .............. .... ......
Sewer & Water Connection Fee ...........
Water Tower Fee ...........................
Water Tap ...................................
Builder's Deposit ............................
Other .........................................
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Gas Fireplace Permit ....................... <I:
This ~cation Becomes Your Building Permit Yf.h,n ~~ved.
By ~~t IL ~~ oate_?"If!dd
Issued
Totel Due .............................. 14!'l. iJ{ U1
Paid 145". 1(" ReceiPw.~~ .3"7 ft"9'7 -
Date ,.1'1.0 () By j4fl-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed'. 'req lested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate'of Oc upancy must be issued.
Certificate of Occupancy
City Planner
Dale
Special Conditions if any
24 hour notice for all inspections (952) 447.9850
BY:~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
-------
~-J),..J Date: 711~~
Building Permit #, PID:
Site Address
Zoning:
Legal: L B
Subdivision:
Existing Structure:~r NO E::><A C I \<B E: M. ENT ~c..IL.,
CONFORMS TO ZONING cV-0 1'0
ORDINANCE
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
. Side Yard
10'
10'
. Rear Yard
25'
ANy PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THI:
PLANNING DEPARTMENT. ALso, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR, ,NY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTME~ T.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCK,DOC
~ t
-..
...
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS .~4~ IS'LAND JieJ z-d~,
TYPE OF WORK ~ ~.IL.. Qe:P~-N(
USE OF BUILDING K!tE:'5 AI R-
PERMIT NO. DO .O(b6~ ' DATE ISSUED 7!r/?!(Jo
:i:l ' .
BUILDER M~e KOfeh-ki - 4'17- 202..1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTION~j BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPE C:TION
INSPECTOR
DATE
I FINAL
EJ((5nN~ 143=\ s. I I I
NO CONCRETE UNTIL ABOVE HAS BEEN SIGto.1ED
I I I
"~/,/ I /
//P /..2/AV~
,
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
J
l
l
'\
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-f8'00 A.T .
ADDRESS
3lJ46 /SL-I'1/\lO V (6fV 6112...
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILliNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GAS LINE AIR TST
)l:1SITE INSPECTION 0 MECH FINAL 0
COMMENTS:~~ ~~
~.~u. &&r~ ~ L7r-<LL ,,,.. n_ (.;;l \ -
'. ~ I' ?'~JUNA-4 JI," 61., c,., ~~
?V I:?e,xf) d, ,,^- ~ _ -~....>-
(-TI ~ ~ ~J &.;t;, /L._ -. ,~.....-p
;<'"/ ~, J ~r;---v - ,
(1)) ,JS.J2" ~ c/-., r> ~ ../v. J' :- -.. (.;>) rikf:t:.,
(.5) ~ o-u. ~" (t..t/t...) j;c U-e:. ~ -:t.JJ IkJ ~,
ft'5~/3,; - ~-r:-- J ~ ~ ~
A.Jf I~ aT~ /~ J a-
t:;;; ~.~7~,:~
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~~
/
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)i; CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/VS/VOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TillE
P//~;/
, .
J,8<K)$~ C//~~ C;y.-
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
en - ~c~y
o FOOTING
o FOUNDATION
o FRAMING
~IN ULATION
INAL
c' SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE AI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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.------
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------
----
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XWORKSATISFACTORV, PROCEED
o CORRECT ACTION ~ND PROC 0
o CORRECT WO~~ PECTION BEFORE COVERING
Inspector: / /' / f. Owner/Conlr:
CALL "47-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
lNSllOr,